After catching a brief glimpse of a woman’s face on a friend’s Tinder page, world-famous pianist Elena Sokolova’s life is plunged into total chaos and collapse. The quickly vanishing image is the face of her missing twin sister Olga, separated from her in a Russian orphanage at the age of eight, and who Elena has been told may not even exist except as a symptom of her supposed schizophrenia. Needing to find answers, Elena frantically runs through the streets of London knocking on random doors until she is finally picked up by police and brought to a NHS psychiatric hospital where she is placed in the care of the kindly Dr Arms, a practitioner of trauma-based therapy. Under his treatment, Elena gradually learns to process the painful events of her past life in the Russia of the oligarchs, while forming close friendships with fellow patients who are also embarked on journeys of healing from trauma. Set in London and Sheffield amid the backdrop of the Covid crisis with its disruptions and enforced isolation, Elena: Love Story for the Humankind, is a love letter to British culture as well as a testament to the power of human connection to repair broken lives. Elena’s story teaches us that individual resilience is not enough; we all travel through this life together.
‘Elena: A Love Story for Humankind’ is a novella I wrote last year among the Covid pandemic and personal struggle with my bipolar disorder. The novella can be found on Amazon Kindle (here is the link).
We all have the potential for madness, but the degree of its manifestation is what really matters, in order to be considered as mental, or just slightly eccentric. The amount of crazy people though is very likely to be on the increase, considering the society in which we are living, not helped by the Corona crisis.
Some time ago, on a visit to a local pub back in Sheffield, to get a cup of coffee I noticed a teacher working at a local school talking with herself. Well, at least it appeared so, because despite my predisposition for what is medically known as hallucinations, I couldn’t spot anyone sitting next to her, and neither could the pub’s staff judging from their whispers.
“Look, look, she is talking with herself!” The waiters were obviously having a blast, and in all honesty, it looked very funny. The teacher was vividly gesticulating into the void and taking part in an animated dialogue with someone who was either invisible or a total illusion on her part. The hilarious part of it was that she was turning slightly to her right, as if indeed there was someone sitting next to her, and the scene looked surreal, as if we were on the set of a new episode of Harry Potter.
I have to admit that I also produced a couple of chuckles, because, first, well, it was quite comical, and secondly, I locked the eyes with the waiters who knew me quite well, and it would be impolite and rude not to join into the camaraderie building, even if admittedly it isn’t nice to laugh at the expense of another human being. But we all do it, despite the teachings of our parents and teachers (ironically so) to the contrary, and we all occasionally watch the funny bits on Facebook or YouTube where eager individuals upload the videos of people in funny distress. Did someone break their leg? Ha-ha-ha. Did he fall down the stairs? Ha-ha-ha. Was she just dumped? Ha-ha-ha.
Well, you know what I am talking about.
But once back at home I was quite sad that I had joined the laughing crowd, because the situation wasn’t that straightforward. You see, I had heard about that teacher. She was diagnosed as ”schizophrenic” when it appeared that the profession of a teacher wasn’t as glamorous as the government had promised, when she found herself dealing with challenging teenagers and often, ungrateful parents, a mortgage which she had to pay even if she lost her job, and two own daughters to raise in the hope that they would become responsible individuals and do well in life. Which in our society has been reduced to getting a job, a house, a husband and some sort of retirement. We have all the reasons to get mad, with the demands that we face in terms of how to be more or less successful in life. We are all victims of what is presented to us as ‘normality’, where watching something like a Big Brother is sold to us as a nice show to watch, where we are driven to build our lives around constant consumption, and where we are reduced to find a partner via an app.
But it wasn’t the knowledge of her personal circumstances which made me uncomfortable. It was the realisation that maybe it was us, the laughing public which had missed the obvious. What if, there was someone sitting next to her? I mean, how do we know? How come that we believe only what our eyes show us, and yet, buy in masses the most recent scam in the field of self-help? Why are we ready to spend a fortune on gurus telling us how to live our lives, and then laugh when we are confronted with a proof that there might be something else out there?
We should never laugh at the expense of others, because one day we can find ourselves on the other side, and then, it won’t be funny.
The psychiatric hospital of today might appear as a foreign, scary object to the mind who has never visited the institution. It represents the unknown, the territory that one is terrified of, but at the same time attracted to with natural human curiosity. Let’s be frank here: we want to know what is inside and who is “hiding” there.
In the eighteenth century, in Europe, many mental institutions called “asylums” were open to the public. In exchange for some entrance money, interested visitors could have a peek: they could stroll in the corridors and observe the patients inside. It was a popular destination by all accounts. People found “madness”—or rather, what is assigned to the term—interesting and irresistible.
Michel Foucault wrote about it extensively, presenting a picture of a typical Sunday morning in Paris for a middle-age couple. They wake up, have breakfast, and then go for a visit to a local asylum for entertainment. Doors were open to the eager public, and the asylums never lacked in visitors. It is indeed interesting, and probably more attractive than going to a theatre or the modern cinema. People aren’t acting there, and they are real.
Today, that same curiosity about manifestations of “madness” is satisfied via books or, more often, via movies. It isn’t by accident that such movies as Girl, Interrupted and A Beautiful Mind were such a big success: “madness” has always been fascinating, and will always attract and terrify the human mind at the same time.
But let’s look at the psychiatric institution of today. It isn’t by accident that doors to it are closed to the curious mind, and only those who are unlucky end up being inside, on the wrong side of the equation—being a patient. The psychiatrists are the ones who walk really free there, looking, observing, analyzing, and then administering the cocktail of modern drugs. We read some stories, we get some news, but it is all presented to us as “mental illness,” part of the bigger discourse on “mental health.”
These stories hide the truth of the modern psychiatric narrative: that real, nice people end up there, and the psychiatric experience is likely to ruin one’s life for good. The drugs they prescribe don’t help with anything, and the stigma which gets attached after one receives a label or diagnosis is forever a scarlet letter on one’s life CV.
I have been unfortunate enough to deal with the psychiatry from “inside” and thus, am an unfortunate witness to the horrors behind the machine. I am also an academic and thus, am interested in the narrative—how my own personal story becomes part of a bigger picture. My story is unique, as are many others, but we all become just statistics in the psychiatric tale. We are all “patients” and we are all “insane.”
The mental health narrative of today is the continuation of the history of the psychiatry, beginning with the age they call “enlightenment,” when the doors were closed to the curious, and only the patients and treating “doctors” were allowed inside. I am not sure it was done out of good will, because it banned the witnesses of the injustices happening there. It is really taking the truth out of the terrifying tale hidden in the modern mental health narrative. People are often held against their will inside these institutions, though their only “crime” is that they dared to have weird thoughts or hear voices.
The modern mental health narrative is the recycling of the psychiatric song to present it to us as something innocent, mundane and even good. Yes, we should think about the sanity of our minds, take care of our bodies, sleep, eat well, and exercise our bodies and minds. However, this tale that appears innocent hides the fact that it simply scares people into a pattern of normality. A pattern where everyone should be the same, behave the same way, and do the same things as everyone else: think about which car to purchase, where to spend the next holiday, and whether to swipe left or right on Tinder. Once you start questioning the so-called normality of student loans, paying mortgages, marriage, kids, gym membership and the like, you will exhibit “abnormal” behavior, I can guarantee you that. You will start questioning things and stop and wonder: Why are there so many homeless people on the streets? Why is Africa so poor? How can I think of the next holiday when there is so much poverty in my otherwise rich land?
Your weird thoughts will scare you, and you might become what they call “depressed.” Depression is definitely not an illness, but it is a fact. It is nothing else but a natural reaction of a mind that wants more from life than the boring tale of “normality.” If you dig deeper, you might even get onto the scale of what they call “bipolar,” and if you embrace your weird thoughts with zeal, and voices finally reach you (the real spirit world hiding behind our “normality” narrative disguised as “the age of reason and enlightenment”), then you might get the label of “schizophrenic.”
All these labels are just words invented by the twisted tale of psychiatry to deceive our minds and prevent us from thinking and behaving differently. There is no mental illness, and there never was. People simply get unwell, and bad things happen in life.
But the psychiatric institution of modern times, with its closed doors, lingers on top of our minds as the forbidden bad fruit that no one should touch, terrifying us and scaring us, because let’s be frank and honest here: no one wants to end up there. And not because one is afraid to become “ill” (we are all prone to “madness,” let me assure you), but because of the narrative of mental health.
Trump demonstrated the scariness of the narrative to perfection when he condemned all “mentally-ill” people. He showed how strong the stigma is and that the slogan “mental illness is like physical illness” is just words into the air. Trump demonstrated the real attitude toward people with “mental illness.” He simply doesn’t know who they are, and what is really taking place—behavior and thought control by the psychiatric institution.
And only a few of us know and see the truth.
The psychiatric institution is mostly an abstract body hanging over our head, sort of a bad headmaster telling us what to do and how to act—a behavioral control manager. It terrifies us with its promise of inflicting a label on the innocent mind, but at the same time, lures us for a peek inside.
Today we don’t have the possibility for a peek inside, but we remain, nevertheless, very curious. We do wonder what is taking place inside, who is held inside, and what it looks like. Mental health patients are your biggest celebrity story, hidden behind the bars of the psychiatric system, which doesn’t want to reveal its badly written script.
I was once inside and thus, am inviting you to have a look. I will take your hand, and encourage you to join me, on an exploration of the inside of the psychiatric institution.
Let’s open the door.
Once we manage it (and it isn’t easy as the doors are really locked), we proceed along a corridor. Psychiatric hospitals operate according to the principle of the panopticon, as Michel Foucault describes in his brilliant book, Discipline and Punish: The Birth of the Prison. He tells us about the emergence of the modern prison system, operating according to the principle of surveillance. “He is seen, but he does not see; he is an object of information, never a subject in communication,” Foucault tells us, referring to the fact that in our current behavior surveillance system, we act like everyone else due to fear of being observed and punished if we do something wrong. The panopticon has a structure: you have a central vintage point through which you can see everything, scaring the subjects into compliance. The subject is always observed.
Modern psychiatry operates according to the same principle, and so do its facilities, such as mental health institutions. In each long corridor of its facilities you have a central point, where psychiatric nurses hold their watch. It is indeed a watch, and if you think that they provide care and show love, then you are wrong. Most of the time they write notes and if we glance inside the notes we will see the following: “Today M dressed more appropriately and was nice to the staff,” or “This morning G stopped his uncontrollable laughing and showed some insight into his behavior.”
Trust me, school is a piece of cake to pass in comparison to what is happening in the notes and observation techniques of the staff in psychiatric hospital, and none of them ever shows any insight or comprehension into their own idiocratic stance. They simply don’t know what they are doing and why, because of the system of the psychiatric establishment. Those who show any weird thought pattern or exhibit strange behavior should be put inside the mental health institution and be re-trained as to how to behave normally.
The nurses sit at their central point, visibly bored and annoyed. They don’t like the patients who come with constant demands, which are always the same and don’t change. “Can I go out, please?” “Can I have a bath?” “Can someone, please, take me on a walk?” “Can I call my friend R?” “When can I see the doctor?” “When will I be discharged?” These are the irritating demands of the patients, taking the attention of nurses away from their notes—and notes take most of their time and attention, because of someone out of their mind who invented psychiatry: it isn’t the patient that matters, but what is written about him/her in the notes. The notes are shown to the treating psychiatrist and stored on shelves, although no one will ever glance a second time into the books and volumes describing us, describing the behavior of those unfortunate enough to step outside the scales of normality.
But let’s move away from the central post and look at the room next to it. It is a room with a phone, where patients queue (when they are allowed) to make a call, and where the treating psychiatric consultant deals with the patients, if other rooms are occupied. It is a small, stinky room, with a closed window, where both the consultant and his patients feel suffocated and mal-at-ease. The doctor doesn’t want to be there, it is the patient who asks to see him again and again, with the same annoying demand as always: “When can I go home?” she asks.
You might think it is funny, but it isn’t funny at all for the patient on the wrong side of the equation. The power machine is firmly in the hands of the consultant psychiatrist and only he can decide on your fate. And it is indeed a fate: one day longer and the patient can be driven to such a despair that he will try to take his life. And if this happens, the cycle becomes much longer, because in that case, the patient is proclaimed as a risk to himself, and is kept behind the doors for much longer. Then it is just survival instinct that might save the patient and give her the strength to endure it all longer.
Let’s walk away from the room and have some fresh air—in the garden that is usually present (thank god) in the facilities. The garden is used for the patients to have a cigarette and to pray. It is here that most interesting conversations take place, away from the observational post of the nurses. It is here that they dare to quickly exchange their own thoughts, such as sharing the voices they hear and the visions they see. It is here that they also get advice from someone who is more advanced in their knowledge of the panopticon, such as, “Don’t say all this to the doctor.” One needs to comply, behave as normal as possible, and not reveal one’s mind to the psychiatrist. Following the rules also means being extra-nice to the nurses who are not nice back to you, wearing presentable clothes, and acting like you are at an office meeting, definitely not as if in the hospital, oh no. I feel much more relaxed in my working place than I ever was inside a psychiatric hospital.
The psychiatric hospital of today, to conclude my narrative, is a panopticon, a modern prison for the daring mind and for weird behavior. We had a small peek, but in reality, it is much more distressing for the one who is being observed. In some hospitals they have cameras in the rooms to supervise the “patient,” and in some establishments, there are people who stay there for years, injected with drugs against their will, losing all hope and desire for living.
It isn’t funny, it isn’t entertaining, and it is bad.
But all who are lucky enough not to end up there march past this monstrosity, oblivious to the torture of the mind happening behind those walls.
(This article was first published by me on Mad in America website and can be found here.)
Different ways of lives, different languages and cultures appeal to me from an early age.
I remember while being still small in Russia I was walking together with my mother towards the bus station. I can’t recall what was the reason of taking the bus but I clearly remember my state of mind during the march to the bus station
I was out of this world, engrossed totally in my own inner imaginative sphere and I was asking questions in my own head: why is the sky blue? Why should we assume that only the physical manifestations is what the world is about? The road, the bus station visible at a distance, people walking towards it from our Soviet style building where with my family we lived on the 16th floor.
Why are we rushing always towards perfection, my seven years old mind was asking God knows whom. Why do people get angry sometimes and why is the moon moving in cycles?
This sort of questions invaded my head from an early age and I applied a mode of ‘check out of reality’ to deal with all that. Life, according to me as a child, was supposed to be a constant stream of big celebrations: friends around to play and to talk, presents not reserved to just an event such as a birthday or New Year Eve. Cakes everyday, even if in small quantities, people singing on the streets. Children laughing, everywhere and always.
But instead I was confronted with a gruesome picture. Unhappy people queuing for the bus, sleep deprived children going to school, and everyone around playing some kind of normality. You behave, you follow the rules, you obey the existing structure.
My ‘check out’ technique helped me to process the grim reality by presenting me with a more colourful vision. In it lived a magician high in the sky, angels sung, and people danced. I had names for them, burrowed from numerous books I was always busy reading. Christian was a king of the birds, Olanda was a fire queen, while Patrick was a light keeper.
It was while living in the Netherlands that I found a better, much stronger version of a language to address my dilemma as to ‘why’. The Russian version ‘почему’ was too soft, more like a whisper rather than a question asking for an immediate answer. The French ‘pourquoi’ left the possibility of a reply with another question rather than an answer one seeks. To the French ‘Pourquoi’ there is always an option to answer ‘pourquoi pas’. It’s like talking in riddles while your questions still hang in your head.
But the Dutch language gifted me with a perfect word for what I am trying to describe in this post. It is Waarom- strict, precise and powerful sound pronunciation that in English can be spelled as ‘vaaroum’. A single word but holding in itself massive power. I even noticed that when someone asks me ‘Waarom’, I try to still provide some sort of answer even when I have absolutely no clue.
And so now, while I march in my daily reality I start my questions in my head with this powerful Dutch world:
Waarom have we so much poverty still?
Waarom did we have September 11?
Waarom there is still so much misery in our beautiful world?
Waarom there is so much sadness where I can hear so much crying?
And most importantly, waarom asking too many questions about humanity and the world we are living in, is considered as being too weird.
Waarom do we accept the ‘normality’ of this world where people mostly march with neglect and indifference to what’s happening in our beautiful planet, such as hunger in some countries, poverty in almost all countries, so much anger, so much disappointment, tears and sadness?
I was born in a beautiful world, in a beautiful country, in Russia. The country that saved the world at some point in human history. It is sad that it isn’t mentioned enough in history books, while it should be the case, of course, all the time. If you don’t know about it, I will tell you. It was during the Second World War, during the fight with the fascists.
My grand-parents fought in that war, and so many people suffered, too many. An incomprehensible number for a true human mind. 56 MILLION. The Jewish, the different, the Slavic race, and other beautiful souls. How could it have ever happened, is a question that I do ask myself each day, because history does matter, and it does matter to KNOW.
My family was absolutely amazing. I had a loving, very curious mum, a wonderful farther, and beautiful set of grand-parents on each side of my charming parents. I spent my summers in a Cossack village, because I have beautiful Cossack genes from my farther, and I travelled to St-Petersburg, called Leningrad at that time, with my mother, who came from aristocracy ancestors (a real catastrophe, that most of them they killed, but some of them survived, thanks GOD). She showed me beautiful museums and powerful paintings, and taught me history and maths. Maths wasn’t my favourite subject, but thanks to my mother I kind of survived the test nightmare of algebra and the like they impose on children in our modern schools.
The idyllic picture of my childhood was broken when something bad happened in my land. We can blame the capitalism (and easy prey), or we can skip all that critical thinking analysis and simply aim at the truth: bad people got greedy, and sold their souls to deprive my Russia from its true meaning: an amazing land, guided by goodness and God. Jesus watches this land, and so do I.
Gorbachev, the kind, beautiful man, tried to create something even more beautiful. He announced some important changes: freedom of speech (extremely important), Perestroika (I still struggle to translate this dilemma), etc, etc, etc. He wanted more good, he had a vision of communism, a term that we started to believe to fear, but in simple language, it just means: everyone is equal, everyone has the same rights, everyone should receive free medical care, have food on the table and receive education for free, and isn’t it wonderful?
Gorbachev wanted even more: he wanted to wake up people and show them that everyone can enjoy theirs jobs: be you a cleaner, a clerk, or a president. It doesn’t matter WHAT you do, what matters is that you enjoy what you are doing. With my extra superiors efforts in this life to survive, I think I deserve more money than a bad-mouthing former ‘neighbour’ who learned to envy success, but it means that I have even a better vision than Gorbachev,more in the lines of Tolstoy, our beautiful Russian writer. Leo Tolstoy, was a true aristocrat, a philanthropist, who wanted to see beautiful Russia, where kindness would rule, and everyone would have food on the table, and lead meaningful lives. If you haven’t yet read his books, I strongly advise you to correct this mistake rather urgently, and start with his diaries, and only after proceed to Anna Karenina, and leave ‘War and Peace’ till the end, once your master your French. It’s a read I successfully skipped at my literature lessons at school, because I didn’t speak French yet properly, and the rest what was left in Russian (‘War and Peace” is written in both Russian and French), told us about long war narratives, that I found boring. But the love story was amazing, and I read all parts related to that, and passed my literature exam with outmost distinction. At nights I was absorbing his diaries though,- beautiful notes, that I discovered by accident as it seemed, but of course, it wasn’t an accident, because good books always find their reader.
The dilemma of Perestroika resulted in a brain-damage. That’s the only term in English I can find to describe what happened next to my beautiful, unique country. But I will try to explain it in more accessible words.
There were kiosks at first, ugly corner shops selling Coca-Cola (the only nice thing), snickers, and cigarettes. My best friend and I, bought our first cigarettes there when we were just thirteen. No one was checking for age, and no one cared, as long as you had money and you could pay.
Then, even bigger things happened. Vouchers came out from the state companies for ordinary people to get their chance to own some assets in their own country. But the country was starving, because Boris Yeltsin was in power, having chased Gorbachev out of the regime, and out of Russia. I want to know how it could happen, and I tried, because I was watching what was happening to my country with a disbelief of a twelve, and then fourteen, and then fifteen, sixteen years-old mind, and I was watching how Kashpirovsky was allowed to go on the state TV and hypnotise the entire nation via a live transmission. I tried to warn my grand-mother, who, as many others, was watching that nonsense, an act of black magic, coming directly from those in power then. Kashpirovsky was telling: ‘everyone will be fine, and everyone won’t be fine’, confusing the entire beautiful land, and how this was allowed is beyond my beautiful mind, but I want to know how it was even possible. I want to KNOW the truth. Because history DOES matter, and we can never forget, in order not to repeat the mistakes of the humanity.
My grand-mother got gangrene after watching it, and died in pain and suffering some years later. That was the moment, outside the church when we said goodbye to her, that I run out and shouted to the sky, to God: ‘’what the fuck? How is it possible? Where are YOU?’’
But of course, God was watching, as he always does, because at the end of the day, goodness always prevails, otherwise, it isn’t possible to continue living, and the universe is doomed. And this simply can’t happen.
The vouchers were immediately bought back by what you know now as OLIGARCHS. Everyone was starving, no one had enough food. There was some promise of American food aid, that they send sometimes to deprived troops in the army, and we got it at school. I tried the sausages and dry milk, and it was disgusting. But it helped to live. I brought all my ‘American’ packages to my grand-mum, because she was starving, and she had sold her voucher back to the oligarchs because she didn’t have any money, as the rest of the nice, not that ordinary Russian population, for a penny.
Oligarchs were made, together with parlours of bad witches. It was all around Moscow, you have to believe me. Everywhere you looked, there was some advertisement: ‘a curse to ban your enemies’’, ‘I will help you to make even more money’, ‘I will bring you your lover back’. That was the moment when I vomited from my first cigarette, because it was the only thing that could help me to cope, with what was happening to Russia. People were shouting and people were crying. And I was shouted at and I was crying. My beautiful mother was in Italy then, because of some strange set of circumstances. I rejoined her when I went to study in Brussels, in French, at the age of nineteen.
Christian churches were opened though, including my favourite church, and it should be amazing and it should be unique, but money was being made on them too, and I almost stopped to believe, but I am not allowed, because God doesn’t let me. And I want to believe, because the idea to the contrary can’t be processed by my inquisitive mind. People were dying then in Russia, and everyone was miserable and upset, and it seemed like a fog, had embraced my beautiful land. Everyone was after apartments, where to get what one wanted, they were ready to put their relatives inside the psychiatric hospital. It was a legal procedure: you pay the ‘doctor”, he signs the letter, and then the poor distressed individual (usually an older relative) is driven inside a psychiatric hospital to disappear. Other schemes were created, and it was all about money, it was all about how to get even more rich.
I want to know how did it happen, and I want to know who was behind all that, and what was said, and understand the incomprehensible dilemma of oligarchs now ruling the world, from their perspectives of offshore brands, stealing money from innocent people, stealing properties from other countries, stealing all the goodness what is still left in this world.
They call it Psychosis. That’s how my quest, my incomprehension about what happened to Russia, and as a result, to the rest of the world, is defined in medical, psychiatric terms. It struck me shortly after September 11, right when I landed working as a financial analyst of banks in a beautiful company in Amsterdam. I saw the image of crushing planes when I was at my gym. I even tried to go to my step class like some other members. But I couldn’t stay there. Instead I run outside and I vomited, and then I watched how stock markets made billions on the sake of the human distress, because I worked in finances, and it was in front of my eyes. And I remember thinking: ‘but that’s exactly what happened back in Russia’, and it was hard to process, and I couldn’t understand how people could laugh, and continue living, and not just cry, like I was doing after that day. I, obviously, couldn’t return to the gym after that day either. I hate all the gyms now.
You know what happened next: Saddam Hussein was publicly executed on a stage. Apparently you could even ‘enjoy’ a place on a stage to watch that awful act. Apparently, it was even filmed, like some sort of Big Brother, that is presented to us as something that we should enjoy and be entertained with, as if it is normal. Amelie Nothomb, my favourite Belgian writer wrote about a similar story in ‘Sulphuric Acid’. I read it in French, but you can get it in English. All her books are more than amazing, they are unique. If you haven’t read her yet, I urgently advise you to do so. Start with ‘Stupeur et Tremblements’ – a beautiful, enjoyable read, a comedy, and then move to her other books, in the order that she wrote them, like I do.
One day, when I came back to Brussels, after my spell in the Amsterdam city for good seven years, I woke up in one of my lucid dreaming, crying. I was standing in front of Saint Basil Cathedral in Moscow, one of the most beautiful churches, the real, and I was crying and I was in terrible pain.
And now I know, I was crying for Russia, and I was crying for my beautiful land, and I was crying for what happened to Jesus, and I was crying to what had happened on our planet earth.
But they call it psychosis, because some people tell you that you should just be happy and enjoy your life.
And of course, one should be happy and enjoy one’s life. But I don’t know how to be happy when such terrible things happen on this earth.
How is it even possible, can someone explain??? How can one dare to feel happy when so many other beautiful people are in so much pain?